MRS. SHIRA KHOSHKERMAN PA-C
NPI 1063923738
Physician Assistant - Medical in Encino, CA

Active since October 20, 2017
17200 VENTURA BLVD STE 302, ENCINO, CA 91316(818) 905-8815 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2022, Oct 20, 2017 (2 updates tracked since 2017).

About Mrs. Shira Khoshkerman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHIRA KHOSHKERMAN PA-C (NPI 1063923738) is an individual medical provider in Encino, California, licensed in California (PA58912) and active in the NPI registry since October 2017. She maintains a secondary practice location in Randallstown.

NPPES Registry Identity

NPI1063923738
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SHIRA KHOSHKERMANCredential: PA-C
Location Address17200 VENTURA BLVD STE 302Encino, CA 91316-5008
Mailing Address17200 Ventura Blvd Ste 302Encino, CA 91316-5008
Sole ProprietorNo
Enumeration DateOctober 20, 2017
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
NPI 1063923738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA58912
Also ListedHospitalistTaxonomy 208M00000X · License C0006666 (MD)
17200 VENTURA BLVD STE 302, Encino, CA 91316

Other Names 1

Professional Name (2)Mrs. Shira Khoshkerman Pa-c

Secondary Practice Location 1

Location 15401 Old Court RdRandallstown, MD 21133-5103 · Phone (410) 521-2200

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
17200 VENTURA BLVD STE 302
ENCINO, CA 91316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shira Khoshkerman's NPI number?

The NPI number for Shira Khoshkerman is 1063923738. It was assigned to this individual provider in the NPPES registry on October 20, 2017. The provider is also known as Mrs. Shira Khoshkerman Pa-C.

Where is Shira Khoshkerman located?

Shira Khoshkerman practices at 17200 Ventura Blvd Ste 302, Encino, CA 91316. The listed phone number is (818) 905-8815.

What is Shira Khoshkerman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shira Khoshkerman was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.